摘要
目的探讨腰膝同治四联疗法治疗瘀血阻滞型膝骨关节炎(KOA)的效果。方法选取2018年2月~2019年2月我院收治的216例瘀血阻滞型KOA患者作为研究对象,按照就诊顺序随机将其分为治疗组与对照组,每组各108例。对照组患者按通用教材针刺推拿处方进行治疗,治疗组患者采用腰膝同治四联疗法(整体理筋手法、针刺散结、刺络拔罐及家庭康复训练)治疗。比较两组患者治疗前、2个疗程结束后、治疗结束后随访6个月的视觉模拟量表(VAS)、Lequesne指数评分及治疗效果,并观察两组患者的不良反应发生情况。结果两组患者治疗前的VAS、Lequesne指数评分比较,差异无统计学意义(P>0.05);两组患者2个疗程结束后及随访6个月时的VAS、Lequesne指数评分均低于治疗前,差异有统计学意义(P<0.05);治疗组患者2个疗程结束后及随访6个月时的VAS评分均低于对照组,差异有统计学意义(P<0.05)。治疗组与对照组患者2个疗程结束后的总有效率分别为92.59%、79.63%,随访6个月时分别为91.67%和77.78%,治疗组患者2个疗程结束后及随访6个月时的总有效率均高于对照组,差异有统计学意义(P<0.05)。两组患者治疗期间均未发生严重不良反应。结论两种方案治疗KOA均有良好效果,腰膝同治四联疗法在改善活动功能及缓解疼痛上明显优于通用教材针刺推拿处方疗法。
Objective To investigate the effect of lumbar and knee joint in the treatment of knee osteoarthritis(KOA)with blood stasis obstruction syndrome.Methods A total of 216 KOA patients with blood stasis obstruction syndrome treated in our hospital from February 2018 to February 2019 were selected as research subjects,and they were randomly divided into the treatment group and the control group according to the order of consultation,with 108 cases in each group.The control group was treated with acupuncture and massage prescription according to the general textbook,patients in the treatment group was given quadruple therapy of lumbar and knee joint(integral tendon-manipulative techniques,acupuncture and resolving masses,cupping and home rehabilitation training).The visual analogue scale(VAS),Lequesne index scores and treatment effect were compared in the two groups before treatment,after 2 courses of treatment and 6 months of follow-up after treatment.The occurrence of adverse reactions in two groups of patients was observed.Results There were no significant differences in VAS and Lequesne index scores between the two groups of patients before treatment(P>0.05).The VAS and Lequesne index scores of the two groups after 2 courses of treatment and at 6 months of follow-up were lower than those before treatment,and the differences were statistically significant(P<0.05).The VAS scores in the treatment group after 2 courses of treatment and at 6 months of follow-up were lower than those in the control group,and the differences were statistically significant(P<0.05).The total effective rates of patients in the treatment group and the control group after 2 courses of treatment were 92.59%and 79.63%,respectively,and 91.67%and 77.78%at 6 months follow-up.The total effective rates in the treatment group after 2 courses of treatment and at 6 months of follow-up were higher than those in the control group,and the differences were statistically significant(P<0.05).No serious adverse reactions occurred during the treatment in both groups.Conclusion Both schemes can achieve good effect in the treatment of KOA.The quadruple therapy of lumbar and knee joint is obviously superior to the general textbook acupuncture and massage therapy in improving activity function and relieving pain.
作者
黄捷佳
詹潮滚
李志远
黄崇侠
利云峰
HUANG Jie-jia;ZHAN Chao-gun;LI Zhi-yuan;HUANG Chong-xia;LI Yun-feng(Department of Rehabilitation,Guangzhou Orthopedic Hospital,Guangdong Province,Guangzhou510045,China)
出处
《中国当代医药》
2019年第36期164-168,共5页
China Modern Medicine
基金
广东省中医药局科研项目（20182113）
关键词
腰膝同治
四联疗法
瘀血阻滞型
膝骨关节炎
Lumber and knee joint
Quadruple therapy
Blood stasis obstruction syndrome
Knee osteoarthritis
